Carolyn Doyle
Construction Defect Claim Manager at CCMSI- Claim this Profile
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Bio
Credentials
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Independent Insurance Adjuster
California Department of InsuranceSep, 2019- Nov, 2024
Experience
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CCMSI
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United States
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Insurance
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700 & Above Employee
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Construction Defect Claim Manager
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Oct 2022 - Present
Perform quality control while facilitating swift cost-effective resolution of an ongoing pending of some 1900 complex construction defect claims. Monitor, train, and oversee 14 team members, including but not limited to teaching proper coverage evaluation procedures, early resolution strategies, litigation control, and reviewing all coverage recommendations and coverage letters for accuracy before elevation to the Client. Accountable for all Client relations issues, including promptly responding to all Client inquiries and leading monthly production meetings. Company duties include but are not limited to auditing files, completing and presenting employee reviews, and interviewing and evaluating new candidates. *Doubled the programs closing ratio within the first six-weeks of taking over and continue to maintain above average monthly closings. Show less
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North American Risk Services (NARS)
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United States
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Insurance
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200 - 300 Employee
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Unit Manager - Construction Defect
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Mar 2020 - Oct 2022
North American Risk Services: Unit Manager November 2021 to Present Oversee, train and mentor adjusters on multiple insurance programs with multiple clients. Accountable for all client relations issues, including elevating high-exposure issues and leading monthly production meetings. Accountable for reviewing an ongoing pending of approximately 600 complex litigated construction defect and general liability property damage claims for proper coverage evaluations, litigation and expense control, and early resolution. Company duties include but are not limited to drafting team production reports, drafting employee reviews, and interviewing and evaluating new candidates. North American Risk Services: Sr. Claims Examiner March 2020 to November 2021 Manage a caseload of approximately 120 complex litigated construction defect claims nationwide. Heavy concentration on complex coverage determinations. Excellent customer service skills used daily to solidify client trust and communicate with all involved parties on each claim. Outstanding negotiation skills used to resolve cases in the pre-trial stages of litigation. Good industry reputation which helps facilitate timely cost-effective settlements. Accountable for determining coverage, analyzing contracts, planning litigation strategy, assigning counsel and experts if necessary, assessing risk management issues and drafting coverage position letters. Emphasis on “early resolution,” controlling legal fees and expert costs when necessary, researching current case law and specific state by state statutes, and evaluating claim damages, liability, and risk-transfer. Recognized as the “highest closer” monthly. Show less
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Carl Warren & Company
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United States
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Insurance
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100 - 200 Employee
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Sr. Claims Examiner - Construction Defect
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Jun 2017 - Mar 2020
Manage a caseload of approximately 170 complex construction defect claims nationwide, with a heavy concentration in FL. Excellent customer service skills used daily in contacting involved parties and keeping everyone appraised of the status of their claims. Outstanding negotiation skills used to resolve cases in person at Mandatory Settlement Conferences. Good industry reputation which helps facilitate timely cost-effective Settlements. Responsible for determining coverage, analyzing contracts, planning litigation strategy, assigning counsel and experts if necessary, assessing risk management issues and drafting coverage position letters. Emphasis on pre-litigation settlements; controlling legal fees and costs when necessary; researching current case law and specific state by state statutes; and evaluating claim damages, liability and risk-transfer. Show less
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Fireman's Fund Insurance Company
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United States
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Insurance
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400 - 500 Employee
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Sr. Technical Claims Specialist
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Jun 2008 - Apr 2014
Manage a caseload of approximately 130 complex coverage/high exposure construction defect claims nationwide with an emphasis on Developer defense in CA, NV, WA, AZ, NY and FL. Manage a caseload of approximately 130 complex coverage/high exposure construction defect claims nationwide with an emphasis on Developer defense in CA, NV, WA, AZ, NY and FL.
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Dynamic Claims Services, Inc.
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United States
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Insurance
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1 - 100 Employee
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Sr. Technical Claims Specialist
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Jul 2004 - Jun 2008
Excellence in all aspects of claims and file handling, with a strong emphasis on Commercial General Liability. Monitoring Trials and attending Mandatory Settlement Conferences. Superb evaluation of covered vs. non-covered damages. Concise analysis of insurance policies, contract documents, damage allegations, etc. to insure proper complex coverage determinations. Comprehensive and “user friendly” report preparation. Excellence in all aspects of claims and file handling, with a strong emphasis on Commercial General Liability. Monitoring Trials and attending Mandatory Settlement Conferences. Superb evaluation of covered vs. non-covered damages. Concise analysis of insurance policies, contract documents, damage allegations, etc. to insure proper complex coverage determinations. Comprehensive and “user friendly” report preparation.
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Liberty Mutual Insurance
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United States
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Insurance
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700 & Above Employee
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Sr. Technical Claims Specialist
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Sep 1998 - Jul 2004
Managed a caseload of approximately 160 complex construction defect claims and catastrophic bodily injury claims. Responsible for determining coverage, analyzing contracts, planning litigation strategy, assigning counsel and experts if necessary, and assessing risk management issues. Providing customer service to policy holders, preparing and performing claims reviews with policy holders at place of business, and assessing loss prevention issues. Emphasis on controlling legal fees and costs, researching current case law, and evaluating claims liability. Monitoring Trials and attending Mandatory Settlement Conferences. Show less
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Wausau Insurance
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Insurance
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1 - 100 Employee
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Claims Supervisor
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Sep 1996 - Sep 1998
Managed a caseload of up to 260 Subcontractor and Developer construction defect Claims. Responsible for coverage determinations, planning and supervising litigation, appearance at Mandatory Settlement Conferences, auditing legal bills, and training/supervising employees. Responsible for training of claim apprentices including coverage and liability issues. Supervised filing and paying legal fees and costs. Managed a caseload of up to 260 Subcontractor and Developer construction defect Claims. Responsible for coverage determinations, planning and supervising litigation, appearance at Mandatory Settlement Conferences, auditing legal bills, and training/supervising employees. Responsible for training of claim apprentices including coverage and liability issues. Supervised filing and paying legal fees and costs.
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